在小儿结肠直肠术逆转手术后增强康复的可行性
M N S Uday Bhaskar1, Lakshmi Sundararajan1
1Department of Paediatric Surgery, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India.
Journal of Indian Association of Pediatric Surgeons
|August 28, 2023
概括
手术后增强恢复 (ERAS) 途径显著减少了儿科结肠直肠术逆转的住院时间和并发症. 这项研究表明,ERAS在儿童中是可行的和有益的,改善了手术结果.
科学领域:
- 儿科手术 儿科手术
- 外科手术的结果
- 增强的恢复途径
背景情况:
- 手术后增强恢复 (ERAS) 协议优化术后护理,改善患者的治疗结果.
- 虽然ERAS在成人和一些儿科病例中表现出成功,但其在儿科结肠直肠术逆转中的应用需要进一步研究.
研究的目的:
- 评估ERAS途径的可行性和有效性,用于儿科结肠直肠术逆转.
- 为了比较ERAS与传统护理途径 (TCP) 的结果,在接受结肠直肠切割逆转的儿科患者中.
主要方法:
- 在2016年5月至2019年期间,对48名小儿科患者进行了结肠直肠切割逆转的回顾性分析.
- 埃拉斯协议包括避免机械肠道准备,早期食和多模式疼痛管理.
- 结果比较包括住院时间 (LOS) 和ERAS (13例) 和TCP (35例) 之间的并发症率.
主要成果:
- 在ERAS组中,平均LOS的时间显著缩短,为3.7天,而TCP组的平均LOS为7.2天.
- 在ERAS组 (1/13) 与TCP组 (9/35) 中,并发症发生率较低,并发症不需要手术干预.
- 在ERAS组中,抗药的使用是最小的 (1/13).
结论:
- 对于儿科结肠直肠术逆转,ERAS途径是可行的和有效的,导致停留时间缩短和并发症减少.
- 成功实施需要为所有参与儿科外科护理的医疗保健人员提供全面的教育.
- 埃拉斯提供了一种有价值的方法来改善儿科手术患者的治疗结果.
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